Organization
HOSPICE OF THE FOOTHILLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEIDI WINGO (CHIEF EXECUTIVE OFFICER)
(530) 274-5159
Entity
Organization
Contact information
Practice address
11270 ROUGH AND READY HWY, GRASS VALLEY, CA 95945-8530
(530) 272-5739
Mailing address
11270 ROUGH AND READY HWY, GRASS VALLEY, CA 95945-8530
(530) 272-5739
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
100000763
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051629001
051629001
CA
05
—
HPC01629F
—
CA
Enumeration date
09/13/2006
Last updated
10/02/2025
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